Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL FORMAN, D.M.D. , M.D.
ActiveDR. MICHAEL FORMAN, D.M.D. , M.D. is a Oral & Maxillofacial Surgery healthcare provider located in GREENWICH, Connecticut. NPI 1043672967 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · GREENWICH, CT
Registration Details
- NPI Number
- 1043672967
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2016 (10.208364182455 yrs)
- Last Updated
- Dec 24, 2022
- Licenses
-
062428 (NY)13252 (CT)
Practice Information
- Address
-
23 MAPLE AVEGREENWICH, CT, 068305675Browse CT providers · Browse ZIP 06830
- Phone
- 2036615858
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in GREENWICH, CT
| Name | Credential | NPI |
|---|---|---|
| DR. MICHELE SHOSHANA BERGEN | D.M.D., M.D. | 1215929286 |
| DR. THOMAS BENEDICT WILSON I | DDS,MD | 1649298944 |
| DR. JOSEPH FRANCIS WALLACE III | D.D.S. | 1255421012 |
| DR. BRETT MICHAEL ZUCKMAN | DMD | 1053699967 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.